MEDICARE: DR. CAROLINE YEN-HSUEH LIN M.D., M.SC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A106659	CA
2	207R00000X	Internal Medicine Physician	MD431460	PA

General Provider Information

NPI Number	:	1598870123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE YEN-HSUEH LIN M.D., M.SC.

Provider Business Mailing Address
First Line	:	9260 TOWNE CENTRE DR
Second Line	:	#17
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3006
Country	:	US
Telephone Number	:	412-877-5692
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 FORDHAM ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-5339
Country	:	US
Telephone Number	:	619-221-5903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	02/11/2022

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